MARK ANDERSON STELL (NPI# 1700476694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700476694 |
Entity Type | Individual |
Full Name | MARK ANDERSON STELL |
Gender | Male |
Credential | RN |
Practice Address | 4231 Witherby St San Diego CA 92103-1132 |
Practice Telephone | 6198469310 |
Mailing Address | 4231 Witherby St San Diego CA 92103-1132 |
Mailing Telephone | 6198469310 |
Certification Date | 2021-01-25 |
Enumeration Date | 2021-01-25 |
Last Update Date | 2021-01-25 |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|---|
Y | 163WG0000X | Registered Nurse Specialization: General Practice | 821141 | CA | Nursing Service Providers |
Street Address | 4231 WITHERBY ST |
City | SAN DIEGO |
State | CA |
Zip Code | 92103-1132 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174140057 | Carmel Agdeppa | Acupuncturist | Chiropractique, 813 West Washington St., San Diego, CA 92103 | 2020-06-26 |
1568082717 | Salina Ann Bambic | Social Worker · Clinical | 302 Washington Street Suite 420, San Diego, CA 92103 | 2020-04-17 |
1467099432 | Lina Hong | Behavior Technician | 3731 6th Ave. Suite 100, San Diego, Ca 92103, San Diego, CA 92103 | 2019-12-09 |
1154964567 | Rodger Stacy Questin, Psychologist P.C. | Psychologist | 440 Upas St Apt 402, San Diego, CA 92103 | 2019-10-18 |
1932740388 | Grace Tong-Ventura | Pharmacist | 200 W. Arbor Drive, #8765, Suite 1-317, San Diego, CA 92103 | 2019-10-07 |
1306490453 | Genevieve Cheung | Pharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 200 W Arbor Dr #8765, Department of Pharmacy, San Diego, CA 92103 | 2019-07-26 |
1801356837 | Marika Doviak | Acupuncturist | 2370 Hickory St, San Diego, CA 92103 | 2019-03-25 |
1982185070 | Tyler Lewis Roberts | Counselor · Mental Health | 4303 3rd Ave, San Diego, CA 92103 | 2018-08-27 |
1689151284 | Tori Breanne Blackwell · Tori Breanne Ragan | Occupational Therapist · Pediatrics | 3731-A 6th Avenue, San Diego, CA 92103 | 2018-07-26 |
1952892614 | Pacific Bay Recovery Inc | Substance Abuse Rehabilitation Facility | 4095 Jackdaw St, San Diego, CA 92103 | 2018-05-29 |
Find all providers in zip 92103 |
Taxonomy Code | 163WG0000X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780270900 | Elisabeth Ann Mack | 4130 Maryland St, San Diego, CA 92103-2330 | 2020-12-13 | |
1346846219 | Maigan Wright | 4011 Ashford St, San Diego, CA 92111-3501 | 2020-12-07 | |
1255987848 | Leila Alexandra Perry | 1501 Island Ave Apt 437, San Diego, CA 92101-7965 | 2019-08-10 | |
1033604475 | Jila Ghabeljoo | 12672 Carmel Country Rd Unit 49, San Diego, CA 92130-3180 | 2018-06-28 | |
1124545645 | Temitayo Olagbemi | 446 Alta Rd # 5300, San Diego, CA 92158-3018 | 2017-08-25 | |
1376522193 | Anna Gruetzmacher | 34101 Farenholt Ave, Nshs-Sd Idc, San Diego, CA 92134-7000 | 2006-01-11 | |
1225625627 | Bich N. Nguyen | 3332 Sandrock Rd, San Diego, CA 92123-2240 | 2020-12-31 | |
1962018465 | Erik Mantsch | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-09-20 | |
1003422080 | Michelle Renee Zittlau-Johnson | 1260 Morena Blvd Ste 100, San Diego, CA 92110-3850 | 2020-09-16 | |
1215545496 | Priscilla Adams Hunter | 3851 Rosecrans St, San Diego, CA 92110-3115 | 2020-07-14 | |
Find all providers in SAN DIEGO |
City | SAN DIEGO |
Zip Code | 92103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528599578 | Katherine Stell Foster · Katherine Elise Stell | Emergency Medicine | 5246 Brittany Dr, Baton Rouge, LA 70808-9136 | 2017-03-22 |
1588607170 | Mary Victoria Stell · Mary Schexnaidre Stell | Emergency Medicine | 102 Office Park Dr, Minden, LA 71055-3086 | 2006-06-13 |
1881979946 | Macdonald Reid Stell · Reid Stell | Counselor · Mental Health | 14535 Bel-Red Rd, Suite 202, Bellevue, WA 98007 | 2011-10-19 |
1730452681 | Mark E. Anderson Family Ltd · Mark E. Anderson, M.a., Lp, Lmft | Psychologist · Clinical | 900 Long Lake Rd Ste 320, New Brighton, MN 55112-6439 | 2012-02-22 |
1619237831 | Flora Audrey Stell · Audrey Stell | Nurse Practitioner · Family | 1950 Buford Hwy, Buford, GA 30518-3673 | 2012-05-22 |
1770606972 | Robert Mark Evans · Mark Evans | Social Worker · Clinical | 1155 Pressler St, Ut Md Anderson Cancer Prevention Bldg Unit 1330, Houston, TX 77030-3721 | 2007-04-10 |
1184758625 | Mark Anderson Family Chiropractic Inc · Anderson Family Chiropractic | Chiropractor | 5161 Maple Dr, Suite D, Pleasant Hill, IA 50327-8454 | 2007-03-15 |
1619206596 | Michael Joe Stell | Technician · Attendant Care Provider | 100 Highrise Cir, 801, Hot Springs, AR 71901-4341 | 2009-12-23 |
1851614705 | Stacey Stell | Speech-Language Pathologist | 333 Grand Ave, Englewood, NJ 07631-4356 | 2010-03-07 |
1225238090 | Sylvia L Stell | Obstetrics & Gynecology | 301 W 13th St, 201, Jeffersonville, IN 47130-3764 | 2007-07-20 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.